Healthcare Provider Details

I. General information

NPI: 1306988845
Provider Name (Legal Business Name): HERBERT K M YEE PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 S KING ST STE 1455
HONOLULU HI
96814-1948
US

IV. Provider business mailing address

PO BOX 547
KAILUA HI
96734-0547
US

V. Phone/Fax

Practice location:
  • Phone: 808-348-3763
  • Fax: 808-597-1119
Mailing address:
  • Phone: 880-834-8376
  • Fax: 808-597-1119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number400
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: HERBERT K M YEE
Title or Position: OWNER /PHYSICAL THERAPIST
Credential: PT
Phone: 808-348-3763